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Registration Form
Registration Checklist

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 REGISTRATION CHECK-LIST

 DOCUMENTOS NECESARIOS PARA LA REGISTRACION

 

PLEASE RETURN ANY OF THE FOLLOWING ITEMS THAT ARE MISSING.  A CHECK NEXT TO THE ITEMS SHOWS WE HAVE RECEIVED THAT ITEM FOR YOUR CHILD.

 NOS FALTAN LOS SIGUIENTES DOCUMENTOS NO MARCADOS. FAVOR DE  ENTREGARLOS TAN PRONTO COMO POSIBLE.

Name/Nombre:_____________________________________
_____ 1.  Registration Form/Forma de Registración

_____  2. Registration Payment/Pago de Registración
                    ______  $75.00 K-4       ______     $ 75.00 Pre-school

_____  3. Shot Records/Vacunas - or document signed verifying child had disease/o documento verificando que el niña ya ha padecido de la enfermedad.
                        _____  3- DTP- Difteria/Tétanos/Tos ferina (last shot after 4^th birthday/última vacuna después de cumplir 4 años)
                        _____  3- Polio – Polio (last shot after 4^th birthday/última vacuna después de cumplir 4 años)              _____ 2- Measles – Sarampión  (after 1^st birthday/después de cumplir 1 año)
                        _____  1 – Mumps - Paperas
                        _____  1 – Rubella -  Rubéola
                        _____  3 – Hepatitis B Hepatitis "B"
                        _____  1 – Varicella (Chicken Pox) Varicela
_____  4.  State Birth Certificate (www.vitalchek.com)/ Certificado de Nacimiento
_____  5.  Baptism and/or Reconcilation/Communion Certificate
      Certificado de Bautismo y/o Reconciliación o Primera Comunión
_____  6.  Copy of Social Security Card/Copia de la tarjeta del Seguro Social
_____  7.  Automatic Draft Form with voided check (If you do not have an account at a bank please come and discuss a payment plan with the principal)
                  Forma de Autorización de Transferencia Bancaria (si no tiene cuenta bancaria, por favor hable con la directora para establecer un plan de pagos)
_____  8. Student Information Form/  Forma de los Datos del Estudiante
                  (2 pages/páginas)
_____  9.  Records Release Form / Consentimiento Para Divulgar los Registros Académicos   (1^st – 3^rd Graders)

____ 10.  Emergency Medical Care and Information/Forma En Caso de Una Emergencia Médica   (2 pages/páginas)
_____ 11.  Permission Form/Forma de Permiso

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Tuition for St. Raphael Catholic School 2008-2009

Kindergarten – Fourth Grade

 

Rates are monthly for 10 months ~ August - May

At the time of registration, $75.00 will be collected for each family.  A one-time fee of $150 for textbooks and supplies will be collected on July 15, 2008.

 

Preschool

 

5 days	3 days (M-W-F)	2 days (T-TH)
$348	$204	$146

Rates are monthly for 10 months ~ August - May

At the time of registration, $75.00 will be collected for each family.

 

Additional Information

§        You must be registered and a participating member* of St. Raphael or St. Joseph-Tontitown Catholic Church to receive Catholic 1 Rate

§        Please have proof of registration from your parish for Catholic Rate 2.  We will also need baptismal certificate and parish affidavit at the time of registration.

§        Scholarship money is available for Catholic Students.  Tuition Assistance Forms are in school office for grade K-3.  Application must be submitted at time of registration with the 1040 and W-2 as supporting documents.

§        Tuition must be paid once monthly (August-May) by automatic draft.  Automatic draft form must be turned in with voided check at registration. 

§        Following Arkansas State Law, kindergarten students are to be age 5 on or before September 15, 2008, and pre-k students must be age 4 on or before September 1, 2008 or age 3 on or before August 15, 2008.

§        Classes are filled as forms are accepted.  Class space is limited.  Failure to return all necessary forms may forfeit the spot for your child.  Priority will be given to returning students, their siblings, Catholic 1 students, Catholic 2 students and then all others.

• For more details please refer to our Parent-Student Handbook